Global antibiotic use increased by 36% in 10 years: an alarming abuse

Source: sina science and technology 2014-07-17 global antibiotic use increased by 36% in 10 years: the abuse situation is amazing The latest research shows that global antibiotic use has increased by 36% in 10 years, most of which is abuse, according to the report titled "research shows the growth of global antibiotic use is shocking" published on the website of Los Angeles Times on July 11 The report, published on the website of the Lancet Infectious Diseases, said the situation raised concerns that the abuse of antibiotics, especially in emerging countries, is making more people around the world lose their resistance to resistant bacteria The authors of the report tracked antibiotic use in 71 countries from 2000 to 2010 The survey found that demographic changes were not enough to explain the growth in antibiotic consumption, which seemed to be in line with economic development Three quarters of the increase in antibiotic consumption came from several fast-growing economies, including Brazil, Russia, India, China and South Africa "People are getting richer and they can afford antibiotics," said Thomas van burkel, an epidemiologist at Princeton University It's not all bad People need antibiotics However, there is a difference between proper use and abuse " What worries researchers most is the sharp rise in broad-spectrum antibiotic consumption, an antibiotic commonly used as a last resort Broad spectrum antibiotics include carbapenems (such as ampicillin and amoxicillin) and polymyxin, which are often used to kill Enterobacteriaceae, such as Salmonella and Shigella "If these drugs lose their effectiveness, there's really no way," van burkel said The data also reflect the trend of inappropriate prescription of antibiotics For example, the author points out that in the treatment of acute diarrhea or dengue fever, chikungunya fever and other febrile diseases, more and more cephalosporins and fluoroquinolones are used in low-income countries In fact, most of these diseases are caused by viruses, and taking antibiotics is not appropriate During the flu season, the use of antibiotics also increased, van burkel said, although antibiotics are ineffective in treating flu Although the study found that thanks to public propaganda, the consumption of antibiotics in Europe and the United States has declined in the past 10 years, but from the per capita level, the United States is still the largest consumption of antibiotics The per capita consumption of Australia and New Zealand has also increased significantly, and the per capita consumption of antibiotics in all high-income Asian countries is also among the top in the world In Europe, there are two countries with the same economic level, but they show great differences in the use of antibiotics Antibiotic consumption in France is three times that of the Netherlands Van burkel said Dutch health authorities reduced the use of antibiotics after a large outbreak of drug-resistant staphylococci However, in relatively poor countries, the public health sector appears to be using antibiotics instead of long-term improvements in health facilities This approach is short-sighted and can only backfire, allowing more and more bacteria to get drug resistance.